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    OpenPayerNPI Medicare & MedicaidJuan Garcia
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    Juan Garcia — Billing Profile & Reimbursement Data

    NPI 1588205538 · Huntsville, TX · Physician Assistant

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    Juan Garcia is a physician assistant provider located in Huntsville, Texas. This profile covers 9 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJuan Garcia
    Address125 Medical Park Ln Ste D
    CityHuntsville
    StateTX
    ZIP77340
    TaxonomyPhysician Assistant
    NPI EnumeratedOctober 1, 2019

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$34.7K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…50$200$9.3K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…60$110$6.8K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…40$150$5.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…50$80$3.8K
    23395In this procedure, the provider transfers a muscle from another location of the patient’s body to the shoulder or upper arm. He performs this procedure to treat injuries that impair the upper…40$90$3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…60$50$2.9K
    23430In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…40$60$2.4K
    29826The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and repairs the shoulder blade and coracoacromial ligament to alleviate shoulder…40$20$860
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.10$30$390

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    234722520020$740$20.1K
    298272524020$860$19K
    9921421,35732,500110$80$17.6K
    2339531030$270$13K
    2343067020$510$11.2K
    9921318,00929,79070$60$8.4K
    992121,3875,51030$40$2.2K
    298261719020$90$1.9K
    730302,2712,45040$20$1.1K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Juan Garcia, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sharad SharmaTXTransplant Surgery Physician$70.8K$0
    Jessica HansenTXFamily Nurse Practitioner$5.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Juan Garcia, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Believe Therapies, LLCTXRehabilitation Clinic/Center$0$12.8M
    Home Health Care Of Huntsville, Co.TXPersonal Care Attendant$0$12.7M
    Gaurav AggarwalaTXCardiovascular Disease Physician$607.9K$0
    Stephen SimsTXPain Medicine Physician$559.1K$0
    Anisa GopalaniTXPain Medicine Physician$391.7K$0
    Paul KenworthyTXUrology Physician$265.4K$0
    Sudhir SehgalTXPulmonary Disease Physician$245.8K$0
    John WilliamsonTXPain Medicine Physician$206.2K$0
    Dave KhuranaTXNephrology Physician$194.7K$0
    Sajid MalikTXNeurology Physician$114.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Juan Garcia — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas